How to Manage Plaque Psoriasis on Your Hands and Feet

How to Manage Plaque Psoriasis on Your Hands and Feet
Wyn Davies 29 May 2023 7 Comments

Understanding Plaque Psoriasis on Hands and Feet

Plaque psoriasis is a chronic autoimmune skin disease that results in the rapid buildup of skin cells. This buildup leads to the formation of red, inflamed patches covered with thick, silvery scales. When plaque psoriasis affects the hands and feet, it can be particularly challenging to manage, as these areas are constantly in use and exposed to various triggers. In this section, we will explore the unique features of plaque psoriasis on the hands and feet, and discuss the factors that may contribute to its development.


Hand and foot psoriasis can range from mild to severe and may affect the palms, soles, nails, or a combination of these areas. It can cause discomfort, pain, and even difficulty in performing everyday tasks. Additionally, the visible symptoms may lead to feelings of self-consciousness and embarrassment. Understanding the factors that contribute to plaque psoriasis on the hands and feet can help us develop a comprehensive approach to managing this condition and improving our quality of life.

Finding the Right Treatment for Your Plaque Psoriasis

Treating plaque psoriasis on the hands and feet can be a complex process, as each individual's symptoms and triggers may vary. The first step in finding the right treatment is to consult with a dermatologist, who will assess your condition and recommend a treatment plan tailored to your specific needs. Some common treatment options include topical medications, light therapy, and systemic medications. In this section, we will discuss the benefits and risks of each treatment option, as well as tips for finding the right treatment for you.


Topical medications, such as corticosteroids, vitamin D analogues, and retinoids, are often the first line of treatment for mild to moderate plaque psoriasis. These medications work by reducing inflammation, slowing down the growth of skin cells, and promoting the shedding of scales. However, long-term use of topical medications may lead to side effects, such as skin thinning and irritation. Light therapy, also known as phototherapy, involves exposing the affected skin to ultraviolet (UV) light, which can help reduce inflammation and slow down cell growth. While light therapy can be effective for some individuals, it may not be suitable for those with severe plaque psoriasis or a history of skin cancer. Systemic medications, such as methotrexate, cyclosporine, and biologic agents, are usually reserved for moderate to severe plaque psoriasis or cases that do not respond to other treatments. These medications work by suppressing the immune system, which can help slow down the underlying processes that cause psoriasis. However, systemic medications may also cause side effects, such as liver or kidney damage, and an increased risk of infection.

Adopting a Healthy Lifestyle to Manage Plaque Psoriasis

Adopting a healthy lifestyle can play a crucial role in managing plaque psoriasis on the hands and feet. This includes maintaining a balanced diet, exercising regularly, managing stress, and avoiding triggers that may exacerbate your symptoms. In this section, we will discuss the importance of a healthy lifestyle and provide tips for making positive changes that can help improve your overall well-being and reduce the severity of your psoriasis symptoms.


A balanced diet that includes a variety of fruits, vegetables, lean proteins, whole grains, and healthy fats can help provide your body with the essential nutrients it needs to support healthy skin and a strong immune system. Additionally, some individuals with psoriasis may benefit from avoiding certain foods that are known to cause inflammation, such as processed foods, refined sugars, and saturated fats. Regular exercise can help improve blood circulation, reduce stress, and promote overall well-being, all of which may contribute to better management of your psoriasis symptoms. Stress is a known trigger for psoriasis flare-ups, so it is essential to find effective ways to manage your stress levels, such as practicing relaxation techniques, engaging in hobbies that bring you joy, or seeking support from a mental health professional. Finally, avoiding triggers, such as excessive sun exposure, harsh soaps or detergents, and skin injuries, can help prevent exacerbations of your psoriasis symptoms and promote healthier skin.

Protecting Your Hands and Feet from Irritants and Infections

When living with plaque psoriasis on the hands and feet, it is essential to protect these vulnerable areas from irritants and infections that may worsen your symptoms. In this section, we will discuss the importance of proper skin care, ways to avoid potential irritants, and tips for preventing infections in the affected areas.


Proper skin care is crucial for maintaining the health of your hands and feet and minimizing the risk of infections. Be sure to keep your skin clean and moisturized, using gentle, fragrance-free cleansers and moisturizers that are specifically formulated for sensitive skin. Avoid using harsh soaps, detergents, or chemicals that may irritate your skin and exacerbate your psoriasis symptoms. When doing household chores or engaging in activities that may expose your hands and feet to potential irritants, wear protective gloves and footwear to reduce direct contact with these substances. Additionally, it is essential to maintain good nail hygiene by keeping your nails clean and trimmed, as well as avoiding aggressive nail treatments, such as acrylic nails or harsh nail polish removers. These measures can help protect your hands and feet from irritants and reduce the risk of infections that may worsen your psoriasis symptoms.

Finding Emotional Support and Building Resilience

Living with plaque psoriasis on the hands and feet can be emotionally challenging, as the visible symptoms may lead to feelings of self-consciousness, embarrassment, and even social isolation. In this section, we will discuss the importance of emotional support and resilience in managing your psoriasis, as well as strategies for building a strong support network and coping with the psychological impact of this chronic condition.


Emotional support is essential for managing the impact of psoriasis on your mental and emotional well-being. Reach out to friends, family members, or a support group to share your experiences, gain understanding, and receive encouragement from others who are living with similar challenges. Building a strong support network can help you feel less isolated and more empowered to cope with your condition. Additionally, consider seeking professional help from a mental health expert, such as a therapist or counselor, who can help you develop coping strategies and build resilience in the face of adversity. Educate yourself about your condition, as understanding the causes and potential treatments for plaque psoriasis can help you feel more in control and better equipped to manage your symptoms. Lastly, practice self-compassion and remind yourself that your worth is not defined by your appearance or your skin condition. By focusing on your strengths and cultivating a positive mindset, you can build resilience and improve your overall quality of life while living with plaque psoriasis on your hands and feet.

7 Comments

  • asha aurell

    asha aurell

    May 29, 2023 AT 00:22

    Topical steroids work until they don't. Then your skin thins out and you're stuck with permanent stretch marks. Seen it too many times.
    Just sayin.

  • Abbey Travis

    Abbey Travis

    June 15, 2023 AT 03:32

    I’ve been dealing with hand psoriasis for 12 years and honestly, the biggest game-changer was switching to fragrance-free laundry detergent and wearing cotton gloves at night with a thick ointment. No magic cure, but it’s way more manageable now.
    Also, coconut oil for moisturizing? Life saver.

  • ahmed ali

    ahmed ali

    July 9, 2023 AT 14:13

    You guys are all missing the point. Psoriasis ain't autoimmune, it's a fungal infection. I read a study on a forum in 2018 that proved it. The reason creams fail is because they don't kill the fungus. I used tea tree oil mixed with apple cider vinegar and my palms cleared up in 3 weeks. No joke. Dermatologists are just profit-driven. They want you on biologics for life. I'm not saying you're wrong, I'm just saying you're misinformed. And yes, I've had it since I was 14. I know what I'm talkin' about. Also, don't use moisturizers with glycerin - it feeds the fungus. I learned this the hard way after losing 3 jobs because my hands looked like cracked leather.

  • Deanna Williamson

    Deanna Williamson

    July 22, 2023 AT 10:52

    Let’s be real - the only thing that works long-term is biologics. Everything else is band-aid therapy. You're paying $20K a year for it, sure, but at least you can hold your grandkids without wincing. The real tragedy is insurance denying coverage. I had to file 7 appeals before they approved mine. And yes, I lost 17 pounds because I stopped eating sugar. Not because it ‘cured’ me - because it reduced systemic inflammation. Don’t waste time on ‘natural remedies.’ Your immune system doesn’t care about your essential oils.

  • Miracle Zona Ikhlas

    Miracle Zona Ikhlas

    August 5, 2023 AT 14:22

    I just want to say - you’re not alone. I used to hide my hands in public. Now I wear fingerless gloves and say ‘yeah, psoriasis’ when people stare. It’s not pretty, but it’s mine. And I’ve learned to treat myself like someone I love - gentle, patient, kind. You don’t have to ‘fix’ yourself to be worthy. Also, if you’re on biologics, ask your doc about the injection training app. It helped me stop panicking every time I had to self-administer.

  • naoki doe

    naoki doe

    August 18, 2023 AT 11:01

    I noticed you didn’t mention the link between psoriasis and gut health. I’ve been on a low-FODMAP diet for 8 months and my foot scales are 80% better. Also, your nails? That’s not just psoriasis - that’s candida overgrowth. You need nystatin. I saw a naturopath who did stool testing and found I had 3 different gut pathogens. Your skin is a mirror. Fix your gut. I know you’re skeptical but I used to have to wear gloves to shake hands. Now I don’t. I’m not saying it’s easy - I spent $4K on tests. But it’s worth it.

  • Carolyn Cameron

    Carolyn Cameron

    September 26, 2023 AT 00:22

    The assertion that psoriasis is primarily driven by immune dysregulation is empirically supported by a vast body of peer-reviewed literature, including landmark studies published in the Journal of the American Academy of Dermatology and The New England Journal of Medicine. To suggest alternative etiologies, such as fungal etiology or gut microbiota as primary causative agents, is not only scientifically unfounded but also potentially hazardous to patient outcomes. One must exercise rigorous discernment when evaluating anecdotal claims propagated via unregulated digital forums. The therapeutic efficacy of biologics, as demonstrated in randomized controlled trials with long-term follow-up, remains the gold standard. One’s aesthetic discomfort, while psychologically significant, must not supersede evidence-based clinical reasoning.

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